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Date February 2009
Topic General Medicare Program Information
Title Implementation of the UB-04
Format Fact Sheet
Detail Page Information

ICN: 006926

Date: February 2009

Publication Title: Implementation of the UB-04

Publication Description:  This fact sheet reviews the new UB-04 paper claim form which is only accepted from institutional providers excluded from the mandatory electronic claims submission. It includes background information, the transition period and a crosswalk.

Publication Size: 1MB

Publication Format:  Fact Sheet

Topic:  General Medicare Information

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Implementation of the UB-04 Fact Sheet [PDF, 1MB]
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Last Modified Date : 08/14/2009
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